DR. SHANNON JOHNSON WHEAT (NPI# 1255536413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255536413 |
| Entity Type | Individual |
| Full Name | DR. SHANNON JOHNSON WHEAT |
| Credential | MD |
| Practice Address |
555 Pier Ave Suite 1 Hermosa Beach CA 90254-3839 |
| Mailing Address |
Po Box 2440 Manhattan Beach CA 90267-2440 |
| Practice Telephone | 4244880500 |
| Practice Fax Number | 4244880498 |
| Mailing Telephone | 8433276767 |
| Mailing Fax Number | 3105463209 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2013-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | P0416 | TX | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A120902 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 30013 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
555 PIER AVE SUITE 1 |
| City | HERMOSA BEACH |
| State | CA |
| Zip Code | 90254-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982638839 | Noel Lee Chun | Anesthesiology | 555 Pier Ave, Suite 1, Hermosa Beach, CA 90254-3839 | 2006-07-10 |
| 1164070736 | Dana Connolly | Nurse Practitioner | 555 Pier Ave, Hermosa Beach, CA 90254-3839 | 2019-08-27 |
| 1437678026 | Karina Ray Ritter | Nurse Practitioner | 555 Pier Ave, Hermosa Beach, CA 90254-3839 | 2017-09-14 |
| 1023569555 | Kimberly Dawn Keim | Nurse Practitioner | 555 Pier Ave, Suite E, Hermosa Beach, CA 90254-3839 | 2016-10-19 |
| 1467844407 | Br Lab and Radiology | Pain Medicine | 555 Pier Ave, Ste #1, Hermosa Beach, CA 90254-3839 | 2015-02-27 |
| 1922435411 | University Spine & Pain Center | Physical Medicine & Rehabilitation | 555 Pier Ave, Suite 1, Hermosa Beach, CA 90254-3839 | 2013-09-30 |
| 1295162808 | University Spine and Pain Center Inc | Physical Medicine & Rehabilitation | 555 Pier Ave, Suite 1, Hermosa Beach, CA 90254-3839 | 2013-09-27 |
| 1609209899 | Hermosa Beach Surgery Center, LLC | Clinic/Center | 555 Pier Ave, Hermosa Beach, CA 90254-3839 | 2013-08-12 |
| 1922286855 | Kiowa Enterprises, LLC | Clinic/Center | 555 Pier Ave, Suite 1-a, Hermosa Beach, CA 90254-3839 | 2008-02-01 |
| 1194913756 | Bao Thai Nguyen | Physical Medicine & Rehabilitation | 555 Pier Ave, Suite #1, Hermosa Beach, CA 90254-3839 | 2007-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501356 | Brianna Naomi Munoz | Behavioral Analyst | 1601 Ca-1, Suite 175, Hermosa Beach, CA 90254 | 2019-04-25 |
| 1134681430 | Duyen Thi Dinh | Pharmacist | 155 Ca-1, Hermosa Beach, CA 90254 | 2019-04-04 |
| 1407312978 | Evelyn Michelle Escobar | Behavior Technician | 1601 Ca-1, Ste 175, Hermosa Beach, CA 90254 | 2019-02-20 |
| 1124598750 | Maria Inaty | Behavioral Analyst | 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 | 2018-11-27 |
| 1023508538 | Melissa Solis | Acupuncturist | 727 2nd Street, #107, Hermosa Beach, CA 90254 | 2018-05-10 |
| 1700319316 | Anna Raymond | Dentist | 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254 | 2017-04-10 |
| 1588916506 | Layla Olive | Speech-Language Pathologist | 2132 Monterey Blvd, Apt B, Hermosa Beach, CA 90254 | 2012-10-15 |
| 1588894307 | Linda E. Brochert-saker | Marriage & Family Therapist | 2200 Pacific Coast Hwy. #208, Hermosa Beach, CA 90254 | 2009-07-15 |
| 1689816050 | Blue Water Endeavors, Inc. | Home Health | 13405 Inglewood Avenue, Suite 6, Hawthorne, CA 90254 | 2009-04-01 |
| 1043408420 | Brandon Hyatt | Marriage & Family Therapist | 263 27th Court, Hermosa Beach, CA 90254 | 2007-10-10 |
| Find all providers in zip 90254 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512567 | Clinicas Del Valle, Inc | Anesthesiology | 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 | 2020-09-10 |
| 1609489418 | Cyrus Dadachanji Md Inc. | Anesthesiology | 34762 Midland Ave, Murrieta, CA 92563-8419 | 2020-08-31 |
| 1962050401 | Sky Anesthesia Inc. | Anesthesiology | 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 | 2019-08-28 |
| 1932671856 | North County Pain Institute | Anesthesiology | 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 | 2018-12-18 |
| 1285101824 | 16th Street Anesthesia Services Corp | Anesthesiology | 2323 16th St Ste 507, Bakersfield, CA 93301-3454 | 2018-11-01 |
| 1033697305 | Heyer Anesthesia PC | Anesthesiology | 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 | 2018-07-30 |
| 1982190229 | Algos Inc., A Medical Corporation | Anesthesiology | 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 | 2018-07-10 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1033616644 | Howard Siegel Md Inc | Anesthesiology | 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 | 2018-04-10 |
| 1780198952 | Unified Physician Associates Inc | Anesthesiology | 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | HERMOSA BEACH |
| Zip Code | 90254 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.